Portville Dental Pllc in Portville - General Practice
Portville Dental Pllc - NPI 1740494137
Portville Dental Pllc is a General Practice in Portville, New York. Portville Dental Pllc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Portville Dental Pllc is 1740494137. The last update date is 2010-06-15.
Portville Dental Pllc's current location address is 149 S Main St, Portville, New York. You can contact this provider via phone number 7169336787 and fax number 7169330117. The mailing address for Portville Dental Pllc is 149 S Main St, Portville, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Portville Dental Pllc |
|---|---|
| Address | 149 S Main St, Portville, New York |
| Phone Number | 7169336787 |
| Fax Number | 7169330117 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Mcdivitt Boyce Olin |
| Credentials | DDS |
| Telephone Number | 7169336787 |
NPI Number Detail
| NPI Number | 1740494137 |
|---|---|
| Provider Enumeration Date | 2007-05-09 |
| Last Updated Date | 2010-06-15 |
Provider Mailing Address Detail
| Address | 149 S Main St |
|---|---|
| City | Portville |
| State | New York (NY) |
| Post Code | 147709703 |
| Phone Number | 7169336787 |
| Fax Number | 7169330117 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 1223G0001X |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5536000001 | PA | -- | |
| 1962490987 | MCDIVITT NPI | ||
| 02386001NY | NY | -- | |
| 1407844426 | PETRYSZAK NPI | ||
| 00605445NY | NY | -- | |
| 7700991 | MCDIVITT BC BS |
Post Comment/ Review Below
What is the unique identifier code issued to Portville Dental Pllc by the Centers for Medicare & Medicaid Services (CMS)?
The Portville Dental Pllc has been assigned the NPI (National Provider Identifier) 1740494137. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Portville Dental Pllc is physically located?
The Portville Dental Pllc is physically situated at the following address: 149 S Main St, Portville, NY, 147709703.
What is Portville Dental Pllc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Portville Dental Pllc is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.
When did the Portville Dental Pllc receive its 1740494137?
The Portville Dental Pllc was issued its 1740494137 on 2007-05-09, which is the date when the organization was assigned this unique identifier.
When was the information related to Portville Dental Pllc most recently updated or refreshed?
The details pertaining to the Portville Dental Pllc, including its address, specialty, and other relevant information, were last updated or refreshed on 2010-06-15.